| Summit Medicine And Wellness | |
|
1676 N Olden Ave Bldg. 1 Ewing NJ 08638-3209 | |
| (609) 789-0805 | |
| Not Available |
| Full Name | Summit Medicine And Wellness |
|---|---|
| Speciality | Internal Medicine |
| Location | 1676 N Olden Ave, Ewing, New Jersey |
| Authorized Official Name and Position | Neelima Vudarla (OWNER) |
| Authorized Official Contact | 6097890805 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Medicine And Wellness 100 Charles Ewing Blvd Suite 100 Ewing NJ 08628-3454 Ph: (609) 235-1610 | Summit Medicine And Wellness 1676 N Olden Ave Bldg. 1 Ewing NJ 08638-3209 Ph: (609) 789-0805 |
| NPI Number | 1750720348 |
|---|---|
| Provider Enumeration Date | 06/18/2013 |
| Last Update Date | 06/19/2013 |
| Medicare PECOS PAC ID | 2860788130 |
|---|---|
| Medicare Enrollment ID | O20160913001323 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750720348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA08594900 (New Jersey) | Primary |
| Provider Name | Neelima Vudarla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598945412 PECOS PAC ID: 9830260744 Enrollment ID: I20100218000765 |
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